The conventional treatment for Fistula-in-Ano is arduous due to its high chance of recurrence & damage caused to anal sphincter during the surgery. Fistula-in-Ano is one of the challenging diseases due to the lack of ideal treatment modalities & its high rate of recurrence. Over past few decades, various techniques have been evaluated in terms of preventing its recurrence & complications. The sign & symptoms of Fistula-in-Ano resembles with Bhagandara described in Ayurveda classics. Many treatment modalities are listed in Ayurveda classics for the management of this painfull disease, ksharsutra Therapy is one among them that has been proved to be highly efficacious. Though Ksharsutra Therapy is a popular treatment for Fistula-in-Ano, it does have few drawbacks. long duration of treatment, post procedural pain & long scar are some to mention. As a result, in the present era(IFTAK) is emerging as an innovative technique for the management of Fistula-in-Ano. In this case study, the IFTAK procedure is done in Fistula-in-Ano which shows great potential in reducing both the treatment duration & post procedural pain & minimum scar mark